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Revenue Cycle Denial & Underpayment Specialist
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Job Description
- Req#: 300000524385091
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Engaging work that contributes directly to revenue optimization
- Supportive and collaborative work environment
- Chance to work on special projects and enhance professional skills
- Ability to analyze and resolve complex financial issues in healthcare
What to Expect (Job Responsibilities):
- Compare contracted rates versus claim payments to identify underpayments for assigned payers
- Identify and resolve denials and underpayments effectively
- Review contract management systems to explain and resolve denials and arrange for payment or adjustment
- Collaborate with other departments to obtain clinical data to resolve denials or underpayments
- Perform special projects and other duties as assigned
What is Required (Qualifications):
- High School Diploma
- Minimum three (3) years' experience in denials, underpayments, or healthcare accounts receivable
- Ability to analyze and reconcile multiple accounts and large volumes of claim data
- Working knowledge of denial and underpayment processes
How to Stand Out (Preferred Qualifications):
- Certified Coding Specialist
- Certified Professional Coder
- Certified Inpatient Coder
#HealthcareRevenueCycle #ClaimsManagement #CareerGrowth #RevenueOptimization #HealthcareFinance
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